| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,519.00 | $3,506.00 | $10,439.00 | |
Aetna
| Professional | $484.50 | $484.50 | $7,655.00 | |
Medica
| Facility | $55.00 | $405.00 | $1,685.00 | |
United
| Facility | $191.00 | $526.00 | $1,769.00 |